Permit CITY OF TIGARD PLUMBING PERMIT
2 , DEVELOPMENT Permit#: PLM2014-00101
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2014
Tic,AR Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: Five Lincoln Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Remove and cap water fountain/feature.
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-244-1900 PHONE.
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 04/08/2014 $25.02
Specifics: 1 12%State Surcharge- 04/08/2014 $8.70
Plumbing
Type of Use COM 47 ea Minimum Fee Adjustment- 04/08/2014 $47.48
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81 20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N align Center Those rules are set forth in OAR 952-001-0010 through OAR 9 = *090. You may obtain a copy of the rules
or di ct questions to OUN • ing 503.232.1987 or 1.800.332.2344.
I ued By: • kifrikAakc,/ Permittee Sig ature:
i r
�� J
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JAN/06/2000/THU 02:46 AM P. 001
plunJ in Perlal>lit. p ilea ' EIVED
Building Fixtures 1 OR OFFICL I1Sf ONL1'
Received ,/ g /�/ Permit No.: . '�L�tDitQi
City of Tigard ry taco%: 7 7
• 13125 SW Hall Blvd.,Tigard,501 972 P R / 2014. Plan Review Other Parait110.
111/9
s
Phone: on Line: Fax; 50159 60
Date/By: Judi: H See Page 2 for
Inspection Lme 503 639 4175 CITY TIGARD rte ReedyBY
7 10't! D Internet: www.tigard-Or.gov NoBfiedlMed,od Su mental tnfarmatioa -
Fors,eda1 to ormal<ion use checklist
New canstrvelian ❑Demolition pescn.tion 105211111011111 Total
q,ddttion/alteratton/replacement El Other. New 1-2-family dwellings(includes 100 ft for each utility connection)
r"` -::.� _ SFR(I)bath 312.70
1 i :.(c �1 yt-1i{l f bi-5''‘.i0,'1:-,]i :,.0 fft tC lr:(._.- 1
� 5F1t(2)bath � 437.78
d 1-aud 2rfamlly dwellingCommercial/mdustrial SFR(3)bath - _ 500.32
0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Other; Fire sprinkler(�, sq.1t.) Page 2 MEN
[]jvlaster builder
.-- -- ...__ - �- st ,., �'�, t
nut `lt na a'u or ,r� ,litf r 1 ✓� ;t �UOrt.1ff furl � t" .�,� ' Site utilities-
[... - "p Catch basin or area drain 18-76
Job site address: /Z.O# . A '!r..�i_A_ i1 CL Drywall,leach line,ortrench drain 18.76
City/State/ZIP: '/ d 6 . • Footing drain(no.linear ft:---.) - Page 2
Project name: r/1�-i,Cf i Manufactured home utilities 50.03
I Suite/bldg./apt.uo:
Cross street/directions to job site: Li is o fi_- Manholes NM 18.76 ME
Rain dram connector Illel
- Sanitary sewer(no.linear ft: Page 2
. - Storm sewer(no.linear ft; Page 2
water service(no.linear ft.: ) - Page 2
Subdivision: _ Lot no.: Fixture or item: _
Bac-it£low preventcr 3127
Tax map/parcel no.: r -r- ',4 Backwater valve _ 12.51
-., Jti i.t �j1U 111_i:i3nt,6)5 �I2,1∎;_<+ 1`;C, :' �.r_.:` ,"-1 25.02
-G.s,•_. :�� Clothes Washer
1 .61hL' :./ L / �i)ya Dishwasher - 25-02
tt d-l✓ Drinking fountain 25.02
Ejectors/sump 25.02
[ ,1 1( r j�f jr ,'"'�`,s ,i `j Expansion tank 12.51
i 'Li is+Zot t ail ro)``r rH' !t ^... t>.__... -..�: 25.02 at7•�'
ti Fixt❑rersewer cap gr'
Name: �t� 25.02 �-a.r
Address: bage disposal _ 25.02
-
Hose bib 25.02
Phone: ■
Fax ( ) Ice maker 12.51
Phone ( ) 25 02
Ir y Cry '." ii �r i ij u/;� �' Interceptor/grease trap
1^ .l a } uy .,<.: , t,::... r s.,.. Medical
u r r y f t gas(value:S ) Page 2
PI LU h t 1151 Business tta¢ie, �/ j T( L primer
Contact name: t A ' ,A A_'.:L Roof drain(commercial) 12.51
Address: bp r •
Sink/basin/lavatory _ 25.02
/. Solar units(potable water) 62.54
City/State/ZIP: � ii /_,t ,t Q
:603 .)2_q,J_eg -- Tub/shower/shower pen 12.51
•Phone:($D3) �J�/ -/ �!� Pax: 7 Urnal 25.02
E•marl Xi i S1-1� , .pi. /h�,a�1�L6�1 et/661 C• j Water closet 25.02
y Mill
-.. J - 1 f1 7%t7.7 �1, h_, 1 f ,f,.aS _MUM
.mir ��jn�t tttE�..3 y �.:�,,.n...a._�^. .�,�.�. Water beater
Business name: -sl
Pa . s 62 Water piping/DWV 56.29
--
Other. .. - '���� 25.02 -
Address: / t A. a Lei / Q./t, 1 Subtotal � .Q
City/State/ZIP: " i / _ Minimum permit fee: S72.50 -7 Z.SD
Phone:(5,o3) Fax.(SD ) _et plan review (25%of permit fee) r
WINOMMIEBE plumbing Lic.no.: .3/../--/5),.. State surcharge(12%of permit fee) 1 t Q
Authorized signature: iG
` TOTAL PERMIT FEE g ,a C)
‘ This permit application expires if a permit Es mat obtained within 7.80 days
/ Date: r after it has been accepted>as complete.
--�tfrit�ta[ne:-- r/.�_JLL ---,,Fee m'edfstlalagyaerirrrn=Cmnty'Buildingind+ssvy-serviee'Boardr-_--__- _..-
___ 44oAdtsractovcomiwaB)
JAN/06/2000/THU 02: 46 AM P. 002
Plumbing Permit Application- City of Tigard
Page 2-'Supplemental Information
Fee Schedule Residential Fire Su• .ression S stems
`,- ;: iL i1 ' ` r 1)Jt .,�Il.°II°1 1 �~,lii 1,,U Ili I/��,,,li :117,1'119G 1i 1�1 ■ii1 _,. I , :I.?�•
Footing drain-1`100' 50.03 EMI 0 to 2.000
2.001 to 3 600 $169.69
Footing drain-each additional 100' 37-52 3.601 to 7 200 $233.20
Sewer-1st 100' �1E2;11 7,201 and • :ter IFIEVEI
Sower-each additional 100'
Water Service-1st 100' 62.54 _ Medical Gas S stems:
Water Service-each additional 100' !! a 1 f
�� (I v'., E�ri l•�nl`L E_'L ...,. �° lE I �c k a e i,i t ----
Stone&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee 572750
Stone&Rain Drain each additional 100 37.52 ME $5,001.00 to$10,000.00 $72.50 for the first 5,000.00 and$1.52 for
l ! , 4 j) 'i qd1-11, each additional$100.00 or fraction thcreot to
(I i lEic ri I_:ii-('
t1u ,c r, 114 s..,l�‘4.,•:•,,,4 Ir. : �1, .._. , and includin:$10.000.00.
Inspection of existing plumbing or for
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 51.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof;to
(minimum oh. : -1/2 hour) and includin:$25 000.00.
Inspections outside of normal business 90.00/hr 525,001.00 to$50,000.00 $379.50 for the first 525,000.00 and$1.45 for
hours minimum ch. =e-2 hours each additional$100-00 or fraction thereof to
lteinspcction Fees 90.00/hr all. and includin:$50 000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof
minimum ch. :e-1/2 hour
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes", ,
please indicate work performed by fixture. Failure to
accurately re 1 ort fixtures could result in increased sewer fees*. ,
•-- - 77'-•:-..,•:.,----.•wy �. ¢��� r�dx,,... , - 7SyH ..,h' .. C.�mcyrF�311.F. �clt_,. .1" 1110,11. -:''LIi c cl,o N U r k .70 l� _l. f
1 i at 1 t�I ,,t u _ i 'r.n'�1 �,��;� � z +t> Plan review is required for any of the following.
t,l- ,�ri ,IiK hh .l'�.7.. -5- ,. x•. ' . Please check all that apply.
Baptistry/Font 0 Any new commercial building with water service 2"and
Baal -Tub/Shower greater,except systems designed and stamped by licensed
_i /Whirlpool engineer_
Gar'Wash -Each Stall - [] New exterior plumbing site utilities for any complex structure
-Drive Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator 13 Medical gas and vaeULrttt systems for health care facilities.
Dishwasher -Commercial 0 Any multipurpose fire sprinkler system.
-Domestic 0 Any complex structure as defined in OAR918-780-0040.
Drinking Fountain —
Eye Wash _ - , _
Floor-D.rain/sink Submit 2 sets of plans with any of the above.
_ '•77--,-4.. t _ f?• 1 :';` il"), 0lsi,�1trF-_.c11 li'2`11:_•''ET1i�c�,lt IEr ...i1 i
Car wash Drain Q Isometric or riser diagram is required for new buildings
Garbage Domestic-fOn-food that meet the .ualification.s above.
Disposal -Domestic-food related ,
-Commercial-food related '''' .
-Industrial-food related • •
Ice Mach.RLefrig.Trains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower -Gang —. PM�
s.,„:....... , _• vv)i .1. %-44.
-Stall — — .i ._.._ .' • ,
—
N
Sink/Lav an food related ‘
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter _... *Note: If the fixture work under this permit results ha an
-washer-Clotho increase of sewer EDUs,a sewer permit will be issued and
water Ex aetoi _____ fees assessed for the sewer increase must be paid before the -
water Closet-toilet plupabSng permit can be issued.
U• rinal_ ., --------- —_.
Other Fixtures: .!F
_ -
-http://www.tigard-or.gov/city_haWdeparlinents docs/Pl '-PermitAApad.. -
1
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10200 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00101
George Heimos
Hard Cap off for water fountain, pass
Violation Summary:
Inspector Contractor